Ankylosing spondylitis is a disease of the spine occuring in late adolescence or early childhood characterized pathologically by progressive inflammation of the spine, sacroiliac joints, and the lager joints of the extremities, particulary the
hips,
knees, and shoulders, and leading to fibrous or bony ankylosis and deformity.
Total hip arthroplasty in patients with ankylosing spondylpitis is indicated in the hip with poor posture and or painful motion.
At the department of Orthopaedic surgery of Chonbuk University Hospital, between 1991 and 1992, total hip arthroplasty was performed in 3 patients(4 hips) who had ankylosing spondylitis, and has reviewed since two months to one year and four
months
after operation and the results are as follows.
1. All patient was male and the HLA-B27 antigen was negative and all were definite ankylosing spondylitis diagnosed.
2. Duration of the cervical spine or the temporomandibular joint causes difficulties in anesthesia, particularly with intubation. So we tracheal intubation.
4. We routinely used EHDP pre postoperative. Only One patient was developed heterotopic ossification(Brooker grade II).
5. The average Harris score of the four hips before arthroplasty and after was 36.3 and 73.3 But most patient was multiple involved joint.
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